SAMBASIVA KAMINENI (NPI# 1912903006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912903006 |
Entity Type | Individual |
Full Name | SAMBASIVA KAMINENI |
Credential | M.D. |
Practice Address |
7901 Broadway Elmhurst NY 11373-1329 |
Mailing Address |
26 Club Dr Roslyn Heights NY 11577-2602 |
Practice Telephone | 7183342473 |
Practice Fax Number | 7182752673 |
Mailing Telephone | 5164842326 |
Enumeration Date | 2005-06-22 |
Last Update Date | 2019-06-15 |
NPI Deactivation Date | 03/16/2006 |
NPI Reactivation Date | 2006-03-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | 214050 | NY | Allopathic & Osteopathic Physicians |
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
214050 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | OXFORD | P2214925 | 01 |
NY | ELDERPLAN | 162454 | 01 |
NY | AETNA | 0007447135 | 01 |
NY | 02081872 | 05 | |
NY | HEALTHNET | 3C3295 | 01 |
NY | HEALTHFIRST | 214050-A53 | 01 |
NY | HIP | 34141P | 01 |
NY | GHI | 0199264 | 01 |
NY | CIGNA | 2323323003 | 01 |
Street Address |
7901 BROADWAY |
City | ELMHURST |
State | NY |
Zip Code | 11373-1329 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336748433 | Lina Maria Rodriguez | Social Worker | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-10-20 |
1366049694 | Reinelda Glizel Diaz | Physical Therapist | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-10-09 |
1831796705 | Keysha Latanya Bonheur | Registered Nurse | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-10-05 |
1053927657 | Puja Rai | Occupational Therapist | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-09-18 |
1619582764 | Tenzin Wangmo | Nurse Practitioner | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-09-14 |
1629683578 | Carmen Maria Chavez Fuenmayor | Student in an Organized Health Care Education/Training Program | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-09-08 |
1093329179 | Dharma Dilia Herrera Vasquez | Student in an Organized Health Care Education/Training Program | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-09-04 |
1366054975 | Mackenzie Jameson | Social Worker | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-08-17 |
1639788201 | Nina Mariana Magdalena Andrias-ng | Registered Nurse | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-07-29 |
1356950497 | Vyacheslav Davydov | Physician Assistant | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-07-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376152736 | Carlos Eduardo Hallo Carrasco | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 | 2020-07-30 |
1912524034 | Jurian Feygen Kaunang | Student in an Organized Health Care Education/Training Program | Bronx-lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 11373 | 2020-07-06 |
1407471352 | Shreeya Parajull | Student in an Organized Health Care Education/Training Program | 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 | 2020-06-16 |
1114542479 | Mahmud Omar Elfituri | Student in an Organized Health Care Education/Training Program | 79-01 Boradway, Elmhurst, NY 11373 | 2020-06-12 |
1568091452 | Nudjarin Unsin | Licensed Practical Nurse | 7517 41stave, Apt.f3, Elmhurst, NY 11373 | 2020-04-03 |
1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
1821647926 | Shahorin Monzoor | Student in an Organized Health Care Education/Training Program | 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 | 2019-09-11 |
1174184600 | Zoila Josefina Cano Rodriguez | Student in an Organized Health Care Education/Training Program | 7802 41st Ave, Elmhurst, NY 11373 | 2019-06-25 |
1891355756 | Kanghee Cho | Registered Nurse | 4143 77th St Elmhurst, Elmhurst, NY 11373 | 2019-06-13 |
1861971947 | Allen G Luke | Acupuncturist | 86-21 53 Ave, Elmhurst, NY 11373 | 2018-08-09 |
Find all providers in zip 11373 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386650331 | Leon K. Eisen | Surgery | 7901 Broadway, Room A1-9, Elmhurst, NY 11373-1329 | 2006-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962003509 | Gs Medical, P.C. | Surgery | 377-b Pearsall Ave, Cedarhurst, NY 11516 | 2020-11-02 |
1073128971 | New York Vascular Group, Pllc | Surgery | 19 Laurel Ave Ste 102, Cornwall, NY 12518-1403 | 2020-09-09 |
1578190179 | Camilo Jose Martinez | Surgery | 23 S Howell Ave Ste H, Centereach, NY 11720-4445 | 2020-03-24 |
1407483399 | Interventional Medicine | Surgery | 1122a Coney Island Ave, Brooklyn, NY 11230-2307 | 2020-03-23 |
1487287975 | Syracuse Professional Medical Services of New York LLC | Surgery | 1101 Erie Blvd E Ste 201a, Syracuse, NY 13210-1144 | 2020-02-13 |
1457983181 | Syracuse Medical of New York LLC | Surgery | 1101 Erie Blvd E Ste 201b, Syracuse, NY 13210-1144 | 2020-02-11 |
1366914483 | Star Veins Centers PC | Surgery | 225 W 35th St Frnt 2, New York, NY 10001-1904 | 2018-12-31 |
1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
1003393299 | Bushwick Professional Medical Services of New York LLC | Surgery | 441 Knickerbocker Ave Ste A, Brooklyn, NY 11237-4508 | 2018-07-20 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.